Research: Health Analysis (Age: 13 - 19 years)
Instructions

Read the statements carefully and select an option that best describes your experience in the last 15 days.
You have 4 options to choose from:
1 - Strongly Disagree/Never – The statement does not apply to me 80 percent of the times.
2 - Disagree/Seldom – The statement does not apply to me more than 50 percent of the times.
3 - Agree/Often – The statement applies to me more than 50 percent of the times.
4 - Strongly Agree/Always – The statement applies to me 80 percent of the times.

There is no right or wrong choice.
Responses are confidential and will be used solely for research purposes.

School Code
Your answer
City/Village/Town *
Your answer
Year of Birth (YYYY) *
Your answer
I am aware of how my thoughts change according to the situation. *
I  do not pay attention to what I am doing when I am distracted. *
I take on extra work/classes to avoid my feelings or thoughts. *
I can express myself clearly even when I am unhappy. *
I am unaware of feelings I am experiencing.  *
I approve or disapprove of myself based on my thoughts. *
I use 'we' language instead of 'I' while talking to my friends. *
I prefer taking decisions on behalf of others. *
I disapprove of myself when I have distressing thoughts. *
There is lesser tolerance towards mistakes in my school. *
I like interacting with people who are different from me. *
My school is forgiving and kind. *
I understand different ways in which people demonstrate respect and care. *
My school encourages students to learn by trial and error. *
 I ask questions to understand all the details regarding a situation.  *
I trust my teachers to involve me in projects that benefit me. *
I prefer working with people who are similar to me. *
I get the support of my peers and seniors when required. *
There are strict rules which I am expected to follow in school? *
My teachers will give me due credit for my project.  *
My commitment towards my work will definitely get rewarded in future. *
Describe the emotions that you notice around you. *
Your answer
What are the most frequent thoughts you observe around you? *
Your answer
Thank you!
Submit
Never submit passwords through Google Forms.
This form was created inside of Aatma Prakash.